LADD MOTORS INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan LADD MOTORS INC., EMPLOYEE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 23 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 23 |
| 2021: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 32 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 25 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 25 |
| 2020: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 32 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 32 |
| 2019: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 31 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 31 |
| 2018: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 36 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 31 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 31 |
| 2017: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 37 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 36 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 36 |
| 2016: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 37 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 37 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 37 |
| Measure | Date | Value |
|---|
| 2022 : LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-12-31 | $11,017 |
| Total plan liabilities at beginning of year | 2022-12-31 | $34,834 |
| Total income from all sources | 2022-12-31 | $277,754 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $357,862 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $124,791 |
| Total plan assets at end of year | 2022-12-31 | $40,924 |
| Total plan assets at beginning of year | 2022-12-31 | $144,849 |
| Value of fidelity bond covering the plan | 2022-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $57,137 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $119,465 |
| Contributions received from other sources (not participants or employers) | 2022-12-31 | $0 |
| Other income received | 2022-12-31 | $0 |
| Net income (gross income less expenses) | 2022-12-31 | $-80,108 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $29,907 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $110,015 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $220,617 |
| Value of corrective distributions | 2022-12-31 | $107,525 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $6,081 |
| 2021 : LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-12-31 | $34,834 |
| Total plan liabilities at beginning of year | 2021-12-31 | $8,441 |
| Total income from all sources | 2021-12-31 | $280,255 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $400,931 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $173,857 |
| Total plan assets at end of year | 2021-12-31 | $144,849 |
| Total plan assets at beginning of year | 2021-12-31 | $239,132 |
| Value of fidelity bond covering the plan | 2021-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $112,383 |
| Expenses. Other expenses not covered elsewhere | 2021-12-31 | $107,542 |
| Net income (gross income less expenses) | 2021-12-31 | $-120,676 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $110,015 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $230,691 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $167,872 |
| Value of corrective distributions | 2021-12-31 | $121,923 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $-2,391 |
| 2020 : LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $8,441 |
| Total plan liabilities at beginning of year | 2020-12-31 | $17,356 |
| Total income from all sources | 2020-12-31 | $319,142 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $184,044 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $63,192 |
| Total plan assets at end of year | 2020-12-31 | $239,132 |
| Total plan assets at beginning of year | 2020-12-31 | $112,949 |
| Value of fidelity bond covering the plan | 2020-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $108,201 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $114,613 |
| Contributions received from other sources (not participants or employers) | 2020-12-31 | $0 |
| Other income received | 2020-12-31 | $0 |
| Net income (gross income less expenses) | 2020-12-31 | $135,098 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $230,691 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $95,593 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $210,941 |
| Value of corrective distributions | 2020-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $6,239 |
| 2019 : LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-12-31 | $17,356 |
| Total plan liabilities at beginning of year | 2019-12-31 | $44,020 |
| Total income from all sources | 2019-12-31 | $388,118 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $250,597 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $98,879 |
| Total plan assets at end of year | 2019-12-31 | $112,949 |
| Total plan assets at beginning of year | 2019-12-31 | $2,092 |
| Value of fidelity bond covering the plan | 2019-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $115,971 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $140,098 |
| Net income (gross income less expenses) | 2019-12-31 | $137,521 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $95,593 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $-41,928 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $272,147 |
| Value of corrective distributions | 2019-12-31 | $2,930 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $8,690 |
| 2018 : LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-12-31 | $44,020 |
| Total plan liabilities at beginning of year | 2018-12-31 | $32,128 |
| Total income from all sources | 2018-12-31 | $312,426 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $339,377 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $208,779 |
| Total plan assets at end of year | 2018-12-31 | $2,092 |
| Total plan assets at beginning of year | 2018-12-31 | $17,151 |
| Value of fidelity bond covering the plan | 2018-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $121,311 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $111,853 |
| Net income (gross income less expenses) | 2018-12-31 | $-26,951 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $-41,928 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $-14,977 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $191,115 |
| Value of corrective distributions | 2018-12-31 | $4,101 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $14,644 |
| 2017 : LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-12-31 | $32,128 |
| Total plan liabilities at beginning of year | 2017-12-31 | $12,967 |
| Total income from all sources | 2017-12-31 | $118,337 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $169,827 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $121,283 |
| Total plan assets at end of year | 2017-12-31 | $17,151 |
| Total plan assets at beginning of year | 2017-12-31 | $49,480 |
| Value of fidelity bond covering the plan | 2017-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $47,655 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $40,636 |
| Net income (gross income less expenses) | 2017-12-31 | $-51,490 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $-14,977 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $36,513 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $70,682 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $7,908 |
| Total plan liabilities at end of year | 2017-06-30 | $12,967 |
| Total income from all sources | 2017-06-30 | $288,498 |
| Expenses. Total of all expenses incurred | 2017-06-30 | $251,985 |
| Benefits paid (including direct rollovers) | 2017-06-30 | $133,907 |
| Total plan assets at end of year | 2017-06-30 | $49,480 |
| Value of fidelity bond covering the plan | 2017-06-30 | $500,000 |
| Total contributions received or receivable from participants | 2017-06-30 | $71,922 |
| Expenses. Other expenses not covered elsewhere | 2017-06-30 | $103,191 |
| Contributions received from other sources (not participants or employers) | 2017-06-30 | $0 |
| Net income (gross income less expenses) | 2017-06-30 | $36,513 |
| Net plan assets at end of year (total assets less liabilities) | 2017-06-30 | $36,513 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-06-30 | $0 |
| Total contributions received or receivable from employer(s) | 2017-06-30 | $216,576 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-06-30 | $14,887 |
| 2022: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-07-01 | Plan is a collectively bargained plan | No |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – Trust | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement - Trust | Yes |
| 2016: LADD MOTORS INC., EMPLOYEE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | First time form 5500 has been submitted | Yes |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | No |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – Trust | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement - Trust | Yes |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 30500212 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500212 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $101,180 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 30500212 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500212 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $100,066 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 30500212 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500212 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $94,471 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 38 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $109,188 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 36 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $40,013 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
